Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $62.31 / $211.59	Facility		$34.10	$62.31	$211.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.44 / $36.76	Professional		$19.55	$23.44	$36.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $68.44 / $185.77	Facility		$39.11	$68.44	$185.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $29.37 / $63.43	Professional		$15.64	$29.37	$63.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $80.06 / $100.98	Facility		$17.64	$80.06	$100.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $45.02 / $56.27	Professional		$20.60	$45.02	$56.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $37.72 / $41.50	Professional		$27.84	$37.72	$41.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $41.07 / $86.34	Facility		$39.11	$41.07	$86.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $58.67 / $107.55	Facility		$37.46	$58.67	$107.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $35.20 / $35.20	Professional		$35.20	$35.20	$35.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.07 / $64.18 / $107.55	Facility		$41.07	$64.18	$107.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $39.11 / $105.09	Professional		$29.33	$39.11	$105.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $16.43 / $39.11	Professional		$14.70	$16.43	$39.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $17.60 / $20.26	Professional		$17.60	$17.60	$20.26